How long does it take for pain to go away after tooth extraction? Toothache - how long can you endure? How long does the pain of breaking up with a loved one last?

Pinching of the sciatic nerve and its inflammation are very common diseases. More than 20% of the world's inhabitants are susceptible to sciatica.

There can be any reason, but the etiology of the disease is by and large important for the attending physician, who must find out the cause of the disease and only then prescribe appropriate treatment. For the patient himself, the most important thing is that the pain goes away as quickly as possible.

Pain is one of the main symptoms of sciatica. It could be:

pulling;
aching;
acute;
shooting, etc.

At the appointment, the doctor carefully asks the patient about the symptoms in order to better understand the cause of sciatica. Subsequent tests will help make a more accurate diagnosis, but the subjective picture matters a lot.

How quickly pain with sciatica can go away depends on at what stage of the disease the patient went to the doctor, how long he self-medicated and how correct it was, as well as on what is the cause of the sciatic nerve disease.

In acute sciatica, the pain is paroxysmal in nature, it is very intense, while it arises and then softens until it disappears completely until the next attack.

In the chronic course of the disease, painful sensations can be continuous for several days, in any position of the body, subsiding only after taking medications.

With significant intervertebral hernias, all painkillers do not last long. Surgical treatment aimed at eliminating the cause of pinched sciatic nerve is indicated here.

How does pain go away during sciatica treatment? This largely depends on the treatment method.

For sciatica, doctors use the following conservative treatment methods:

medicinal;
physiotherapy;
massage;
herbal medicine and traditional medicine and others.

How long it takes for the pain to subside also depends on the chosen treatment regimen and on how scrupulously and carefully the patient follows the doctor’s instructions and follows the recommended regimen.

With complex treatment of sciatic nerve entrapment, the pain goes away faster than using a single method. Due to very acute pain, doctors sometimes give the patient a novocaine blockade - and then the shooting subsides literally in a matter of minutes.

But when the effect of the analgesic wears off, the painful sensations reappear, so blockades for sciatica cannot be considered a panacea - this is an immediate emergency aid, after which the underlying disease and sciatica (if sciatica is secondary) should be systematically and gradually treated.

What can be done?

In addition to the fact that a patient with sciatica takes non-steroidal anti-inflammatory medications (they relieve inflammation and remove swelling from the muscles that compress the nerve trunk, and thereby alleviate the person’s condition and make the pain less intense) and painkillers, he can also use external agents - ointments, creams, gels, patches, etc.

Thanks to the substances they contain, they have a warming, irritating and distracting effect.

The pain will go away faster if, after various procedures, you wrap the lower part of the body in warm woolen cloth or take medicinal baths, which are especially useful before bed. Folk remedies - decoctions, infusions - will help relieve pain.

Watch the video: How to quickly relieve acute aching pain when the sciatic nerve is pinched

Tooth extraction is for some an inevitable and extremely undesirable last resort, for others it is a procedure that is perceived much more favorably than long-term painful treatment. An injection, movement of the surgeon’s hand with the instrument - and the pain disappeared. But with the removal of the source of infection, the rotting, decaying dental skeleton that brings pain and suffering, relief lasts only as long as the anesthetic injection is in effect. When the gums move away from the frost and its insensitive numbness stops, it begins to hurt.

Pain after tooth extraction: how many days does it last?

Why does a pulled out tooth hurt?

Tooth extraction

Aching pain can last up to four days

Sometimes the pain goes beyond the norm

If after removal a root fragment remains in the gum, an inflammatory process may begin.

In the photo there is alveolitis of the tooth

Photo of a dry socket after tooth extraction

Trigeminal neuralgia

Gum tumor

Swelling of the gums after tooth extraction

the temperature is not elevated;
moderate pain;

If your cheek is swollen, you need to visit the dental surgeon again

It's time to go to the doctor

pain intensifies;
gums become red;
swollen gums;
there is a bad smell from the mouth;
cheek swollen;
body temperature increased;

If your cheek is swollen, your temperature has risen, or your condition is worsening, then you should not postpone a visit to the doctor.

Difficult case

Wisdom tooth removal

Help yourself

DrugAction

Ketorolac (and analogues with identical active ingredients)
Nimesulide
Analgin
Baralgin
Spasmalgon

People's Arsenal

Cold compress

Propolis

Video - Tooth extraction

Video - What to do after tooth extraction

expertdent.net

Pain after tooth extraction: what causes it, how many days does it last?

Tooth extraction is a very unpleasant procedure. For an experienced doctor, performing this procedure is not at all difficult. Sometimes the patient has to make an incision for complete removal. But even if such an intervention is carried out without any particular difficulties, the nerves and tissues are still injured and pain occurs, which can last for several days. So how long does pain last after tooth extraction and how to treat this condition?

How many days does pain last after tooth extraction?

When a doctor removes a tooth, the soft tissues of the oral cavity are necessarily injured. Typically, local anesthesia is used for this procedure, and the only inconvenience the patient may experience is keeping his mouth open. After the tooth is pulled out and the anesthesia wears off, aching pain appears. The duration of pain after tooth extraction depends on how successfully the procedure was performed and how the healing proceeds, whether it is complicated by inflammation. This can happen for various reasons, for example if:

hygiene standards were not observed;
there is no blood clot in the socket;
instruments were not disinfected;
there are foreign bodies in the hole, etc.

View of a blood clot in the socket of an extracted tooth

How many days does pain last after tooth extraction? Usually it begins to decrease and completely disappears after two to three days. If the pain after removal gains strength and becomes unbearable after a few days, then you should consult a doctor. And this should be done immediately if you have symptoms such as:

redness;
swelling;
taste of pus in the mouth;
foul odor;
loss of strength;
exhaustion.

The inflammatory process that occurs after removal is a dangerous phenomenon, so it must be treated under the supervision of a doctor. Such swelling does not go away on its own and must be eliminated only under the supervision of a dentist. Any delay in treatment becomes a serious cause of adverse consequences.

Symptoms of complications

Complication after tooth extraction photo of the hole

Every patient worries about how many days the pain usually lasts after tooth extraction. Once the anesthesia wears off, most often the pain is tolerable and lasts for three days while the wound heals and the blood clots, acting as a protective barrier. This clot after some time turns into a mucous part. After this, the wound heals completely and the pain subsides. In more severe cases, usually after wisdom tooth removal, the pain lasts seven and sometimes ten days. In this case, it is important not to miss the onset of inflammation progression after removal. You should be wary if swelling occurs, pain begins to increase, or a foul odor appears from the oral cavity. General health may deteriorate significantly.

If the injured gum hurts for several days, then all you can do is wait. The following painkillers can be used:

Ketanov;
Nimesulide;
Baralgin;
Ketorol;
Analgin;
Spasmalgon.

If there is no desire to take medications for pain after tooth extraction, then you can use folk remedies.

Usually, if the pain does not arise as a result of complications, then on the first day it is enough to apply cold, and then periodically take a mild pain reliever.

Oral care after tooth extraction

Dentists advise caring for injured gums as follows:

Thus, usually after tooth extraction, the injured gum begins to hurt within three hours, and such pain can be constant or intermittent. But every day it should decrease, and it completely disappears only on the third or fourth day. If the pain only intensifies, you should urgently visit a doctor.

stoma.guru

How long does it take for pain to go away after tooth extraction?

An unpleasant symptom is tooth pain, which makes a person nervous and irritable. If you had to remove the figure eight on the upper or lower jaw, the unpleasant sensations in the oral cavity persist for several more days. Pain and inflammation of the gums are completely normal, but they should not last longer than 2-3 days.

Why does pain occur after wisdom tooth removal?

Any injury in the human body is reflected by acute pain. Removing the figure eight is no exception, since during surgical manipulations the integrity of the soft tissues is violated. During a complicated operation, the doctor may damage the bone tissue, so the acute attack of pain drags on for a longer period. By the pronounced pain syndrome, one can judge the healing of the inflamed hole: the less pain, the faster the process of regeneration of tissues injured by a scalpel and forceps occurs.

Swollen gums

It is also necessary to pay attention to the external condition of the gums. Ideally, already on the second day the inflammation should subside, and the color of the mucous membrane should transform from rich red to pale pink. If this does not happen, the patient should have a suspicion that the healing of the hole is accompanied by certain complications. When there is no positive dynamics within 2-3 days, and the gums are still swollen and painful, you should immediately consult a dentist for advice.

The hole hurts after surgery

To perform figure eight resection, it is first necessary to anesthetize the pathology site for unhindered further surgical procedures. After the operation is completed, the effect of local anesthesia wears off, and the inflamed hole begins to hurt very much. This is a normal reaction to the removal of the eighth tooth, requiring additional analgesics. After some time (1-2 days), the pain subsides, and a blood clot formed in the socket and normal body temperature eloquently indicate the absence of health complications.

How long does pain in the gums normally feel?

The severity of pain in the mouth depends on the individual characteristics of the operation and potential complications. The dentist will tell you how long the pain in the gums lasts after removing the figure eight after a detailed examination of the source of pathology upon completion of all surgical procedures. Attention should be paid to the following clinical pictures:

If this is a simple removal, then the gums will stop hurting after 1-2 days. Swelling of the jaw quickly goes away, chewing function normalizes, and the patient soon forgets about the surgical procedures performed in the mouth.
If the removal of a “wise” tooth was difficult, then the gums will hurt for another 3-5 days. After this, complications should pass, and the general condition should return to normal. The healing process of hard tissues is individual and has a number of determining factors.

How long does the pain in the gum last?

If the dentist managed to remove the third molar without pathologies and safely pull out the root, blood accumulates in the hole, which turns into a specific clot the very next day. This is the beginning of recovery, and the aching pain in the gums will disappear within 2-3 days. In the once painful area, an accelerated process of tissue regeneration is observed, and after a couple of weeks the patient will no longer remember the unpleasant visit to the dental office.

How long does gum pain last after complex removal?

The consequences of a complicated operation can be the most unpredictable, and the recovery period for certain clinical pictures includes taking a full course of antibiotics. Ideally, the stitch will stop hurting after 4-5 days, but such unpleasant sensations can last for weeks. More often, this health problem occurs due to the growth of an impacted molar.

Removal of impacted teeth

If a doctor has to remove a molar that is not growing properly, then such an operation is complex and requires high professionalism. The inflammatory process persists for several days, but may not stop for a week. Cheek swelling, impaired diction and chewing function, numbness of the tongue - these are the unpleasant symptoms that occur when an impacted wisdom molar is removed. In addition, the gums can become very swollen and painful, and suppuration is possible due to a progressive infectious process. To understand the cause of the pain, it is worth describing the sequence of the operation:

Performing local anesthesia, less often - the need for general anesthesia.
An incision in the gum with a scalpel and sawing of the bone tissue that prevented the growth of the molar.
Removing the impacted tooth from the socket using special dental forceps.
Applying sutures to an open wound on the jaw at the site of the removed molar.
Preparing a tampon with a hemostatic drug.
Apply the specified medication to the vacated hole, but not more than 10 minutes.

What to do if your gums hurt after tooth extraction

If the patient’s pain does not stop, taking analgesics and temporarily anesthetizing the pathology is pointless. The effect of such drugs is not enough for a long time, especially if serious complications predominate in the body. It is difficult to say how long the gums hurt, but it will take a long time to heal. Particularly dangerous is alveolitis (inflammation of the socket), which can be diagnosed three to four days after surgery.

Gum care at home

It is important to know not only how much your gums hurt after getting rid of a wisdom molar, but also how to alleviate your condition at home. Folk remedies become a real salvation if you choose the right recipe, use it as directed, and do not violate medical prescriptions and the regularity of procedures. Below are effective ways to relieve pain in the socket. This:

Chicory in the amount of 1 tsp. steam with boiling water, simmer on fire for 5-6 minutes. Use the prepared decoction warm for daily rinsing of the mouth to numb the inflamed hole every time.
A decoction of sage works on the same principle, and it is recommended to use it up to 5 times a day. This remedy relieves inflammation, relieves pain, and has a beneficial effect on neighboring teeth.
A decoction of oak bark relieves pain better than any tablet, does not injure the mucous membrane, kills pathogenic microbes, and is an effective oral hygiene. To prepare it, steam 2 tbsp. l. raw materials in 500 ml of boiling water, leave, strain, rinse your mouth.
Another effective remedy is onion peel, from which you need to prepare a steep decoction. If you had to remove the figure eight, already on the second day you need to rinse your mouth, but no more than 3-4 times a day. Otherwise, you can wash out the blood clot and cause inflammation.
Pine cones in the form of a decoction will also help you sleep peacefully if doctors had to remove a wisdom tooth. There is no need to edit the recipe, otherwise its effectiveness will decrease. 2 cones need to be steamed in 500 ml of boiling water, simmer for 10 minutes on fire. Infuse, strain, cool - the decoction is ready.

Drug therapy

If an impacted “wise” tooth continues to grow in your mouth, it needs to be removed immediately. A photo of a bare hole is scary, and possible health complications are generally shocking. The gums will hurt for some time, so there is an urgent need for additional painkillers. More often these are baths with time-tested antiseptics, for example, Miramistin, Chlorhexidine, potassium permanganate, and medicinal decoctions.

The patient is able to relieve his condition with medication. Particularly effective are painkillers such as Tempalgin, Analgin, Solpadein, No-shpalgin, Ketanov and others. Folk remedies will help speed up the therapeutic effect, but it is important to discuss such an integrated approach to the problem with your dentist first.

lecheniezubov.su

Like any injury that causes soft tissue trauma, the tooth extraction procedure cannot be done without pain, since it affects the gingival tissue, periosteum and nerve endings. And if your gums hurt after tooth extraction, then this is a normal postoperative phenomenon. In normal cases, it goes away after 1-2 days, but if it persists for a long time, this indicates the presence of an infection in the wound.

The degree of injury to bone tissue depends on the complexity of removal, so in especially severe cases the body’s reaction can be more significant. Sometimes, before performing a resection, the doctor will first need to make an incision in the gum to provide access to the bone tissue. Typically, such manipulations are carried out with large or uneven roots or the absence of a crown.

Therefore, it is not surprising that after tooth extraction, the jaw hurts, the gums and cheek swell, and discomfort occurs. All these unpleasant symptoms, as a rule, go away after a couple of days, but sometimes the swelling does not subside, but only increases, which indicates the beginning of inflammation of the socket (alveoli) - alveolitis. The main causes of this disease and pain after tooth extraction:

The entry of foreign particles into the socket (contents of a carious cavity, dental plaque, fragments of an extracted tooth) quite often leads to inflammation of the socket;
The destruction of the blood clot, which forms in the alveolus and protects the wound from infection, promotes faster healing of the gums. If socket hygiene is not observed, or rough or hot food is consumed, the clot may be destroyed and inflammation may begin;
Removing a tooth in parts sometimes injures the surrounding tissue, partially destroys the bone walls of the alveoli, which significantly complicates wound healing and is often accompanied by complications;
Dry socket is the most common cause of jaw pain after tooth extraction. It forms when a blood clot does not form for some reason or is accidentally removed. As a result, alveolitis develops or gum inflammation occurs, as the wound becomes open and accessible for various infections to penetrate. After some time, a purulent plaque forms on top of the hole, which the dentist removes using special disinfectants;
Osteomyelitis is alveolitis in a more serious stage. It is characterized by decreased immunity, elevated temperature, severe pain in the gums and swelling.

Sometimes after extraction the neighboring tooth hurts. Similar sensations appear as a result of the fact that after the procedure there is pressure on the gums and the newly formed wound. As soon as the adjacent teeth stop moving and tilting, the discomfort immediately goes away. Also, often the neighboring tooth hurts after removal if a nerve was damaged, which is fraught with complications.

Pain after tooth extraction usually occurs after the anesthesia wears off, and blood may bleed from the socket for some time. To stop bleeding, you need to place a cotton swab on the empty alveolus, bite firmly and hold it there for at least half an hour. To avoid infection entering the wound, it is important not to damage the blood clot that forms at the healing site.

Tooth hurts after nerve removal

Very often, after the depulpation procedure, patients return to the dentist again with complaints that the tooth hurts. In this situation, discomfort and unpleasant sensations may be a temporary phenomenon as a result of surgery. But in some cases, pain occurs due to improper tooth treatment.

Pulpitis is an inflammation of the pulp - fibrous tissue that fills the tooth cavity, containing nerve fibers, as well as arterial and venous vessels. With caries, damage to the outer shells of the tooth often occurs and infection penetrates inside. To eliminate this problem, the doctor performs a depulpation procedure. After nerve removal, the tooth usually hurts for several days; this is completely normal. However, in some cases, poor quality work by a dentist can cause pain. The fact is that an inflammatory process develops in a tooth cavity closed by a filling.

Most often, pain in a tooth after nerve removal occurs if the canals were poorly cleaned, the pulp (nervous tissue of the tooth) was not completely removed, or during the procedure the doctor did not take into account the degree of settlement of the filling material, so there was a cavity left that was not completely filled. In all these cases, it is necessary to consult a doctor and undergo repeated treatment to eliminate the defects.

Also, if a nerve has been removed and the tooth continues to hurt for more than two days when bitten or touched, this is a symptom of trigeminal neuralgia. The disease occurs as a result of damage to the alveolar nerve. In this case, the patient initially feels numbness, which then turns into constant pain. Later it develops into neuralgic attacks, and the unpleasant sensations have the character of short volleys.

To avoid the occurrence of various complications and pain after tooth and nerve removal, you must adhere to simple rules: refrain from eating for 4-5 hours after the operation, do not eat hot, salty or spicy foods, and chew food on the opposite side, where there is no wound. . You can brush your teeth only the next day.

www.neboleeem.net

gums;

1 day
3rd day
3 – 4 days
7 – 8 days
14 – 18 days
30 days
2 – 3 months
4 months

Preparation	Description	Application
Chlorhexidine
Miramistin
Soda-salt baths
Herbal infusions		Rinse your mouth 2 – 3 times a day. While rinsing, keep the solution in the mouth for 1 to 3 minutes.
Furacilin solution		Rinse your mouth 2 – 3 times a day. While rinsing, keep the solution in the mouth for 1 to 3 minutes.

eat only soft foods
give up alcohol

Swelling of the cheek after tooth extraction

the swelling is very pronounced

Causes of dry socket:

Dry socket treatment

Symptoms of alveolitis:

Treatment of alveolitis

Antibiotics used

Drug name	Description	Directions for use
Josamycin (Valprofen)
Hexalize
Hexasprey
Gramicidin (Grammidin)

Oletetrin

Complications of alveolitis:

increase in body temperature

Directions of treatment:

surgery
use of antibiotics

www.polismed.com

Why does a pulled out tooth hurt?

Toothache from removing the “subject of pain” - a damaged tooth - is not supernatural. Tooth extraction is considered a surgical operation according to all medical standards. Damaged living tissue of the gums and oral cavity can cause pain even greater than what the patient experienced from inflammation or decay of a diseased tooth.

Soft tissues are known to have many nerve endings. The gums and mucous membranes are literally riddled with nerves, which, when acted upon, transmit pain impulses to the brain. When a patient receives local anesthesia, the nerve endings temporarily atrophy and stop fulfilling their duties - bringing pain to the body cells. But then the anesthesia ends, and the nerve endings begin to work. Aching, dull pain that interferes with normal life continues, as a normal reaction to surgery.

How normal is this, and how “according to the rules” should a tooth hurt after extraction? Weak. Not too intense. As it fades away. No more than three days. Patients who are particularly sensitive to injury and have a low pain threshold are given four days.

Important! If on the fifth day after tooth extraction the pain in the gums continues and its intensity does not decrease, on the contrary, it increases, you should consult a doctor.

How pain goes beyond the norm

The pain is intense, does not subside, increases or maintains amplitude, lasts more than 3-4 days, this ceases to fit into the framework of the body’s natural pain reaction, which must be endured. There are very specific causes of pathological pain after tooth extraction.

Poor quality treatment. The practice of dentistry is as susceptible to human error as any activity involving humans. Often the surgeon does not completely remove the root, leaving part of the dental tissue, cyst fragments, a piece of cotton wool, or a fragment of dental bone in the wound. All this becomes a source of inflammation. And after a few days the inflammatory process begins to actively develop.

Alveolitis. The cause of pain is the absence of a blood clot. Any wound, especially in the gums, needs a blood clot to close it to heal the tissue and block the path of infection. After a tooth is removed, this clot forms in the socket. But for various reasons it turns out to be broken or shifted. Patients also often wash out this clot, for example, when they begin to rinse the wound. As a result, the root hole remains open, infection gets into it, inflammation and swelling of the gums begin. All this is accompanied by pain, which normally should not be present.

By the way. If a patient has to have a simple (single-rooted) tooth removed, according to statistics, alveolitis occurs in 3% of 100. When a complex tooth is removed, this figure rises to 20%.

Dry hole. This is the most common complication, also associated with the absence of a formed blood clot, but with it the hole from the root, upon careful examination, remains dry, despite the moist environment in the mouth, and bone is visible at the bottom of the hole. This problem is more likely to occur in smokers, older people, and those who have hormonal problems. The pain in this case will be quite severe. And you shouldn’t wait until it goes away; the doctor will help by putting a tampon with medicine in the wound that will moisturize and disinfect it.

Trigeminal neuritis. This cause of ongoing and unrelenting pain is familiar to patients who have had a lower row tooth removed. The lower jaw serves as a receptacle for the branched trigeminal nerve. A dentist, diligently pulling out a deep-seated tooth root, can damage this nerve. The probability is low - only about 10%. But if you fall into this number, the pain after removal and the end of the freezing effect will be “shooting”, paroxysmal, not only in the gums and jaw, but also in the temples, around the eyes, even in the neck. Externally, the gums do not swell and do not look damaged, even redness is not observed. It is possible to identify neuritis only by the nature of the pain.

Gum tumor

Often pain from an extracted tooth is accompanied by gum swelling. The phenomenon is not only not aesthetic, but, at times, dangerous.

In about half of removal cases, swelling after surgery is normal. It is associated with soft tissue injury. And if the swelling is temporary and transient. There is nothing to worry about, you just need to “get over it.”

But if the phenomenon is accompanied by atypical pain that lasts longer than expected. Perhaps this is a pathology that a repeat visit to the surgeon will help normalize.

Inflammatory process. Often it is already present when the patient presents for tooth extraction surgery. And the source of inflammation is not always removed when the tooth is extracted. Trauma to the soft tissue allows inflammation to begin again. Plus insufficient antiseptic treatment of the hole or alveolitis.
A complex tooth - impacted or dystopic - its removal will almost certainly involve the fact that the surgeon will open the mucous membrane over a large area and will spend a long time “pulling out” the tooth. Of course, the cheek, gums, even the neck and skin near the ear can become swollen and painful.
Gum section. Sometimes the surgeon sees suspicious swelling of the gums already during the operation, and mistaking it for an abscess (in most cases, rightly) cuts the gum. Thus, the extracted tooth will hurt much more strongly, longer, and with accompanying swelling of nearby soft tissues.

There is nothing to worry about if the swelling is expressed as follows:

the swelling is not pronounced and decreases over time;
the temperature is not elevated;
moderate pain;
there is no unpleasant odor from the mouth.

By the way. There are exceptional cases when there is no severe pain from the extracted tooth, but there is a swelling of the cheek, and it is growing. It does not happen often, mainly after the removal of a tooth with pulpitis, if the root canals are not very thoroughly cleaned. In this case, you need a second visit to the surgeon to prevent the formation of a cyst.

If the condition does not improve, but worsens at least slightly or the pain remains stable. If new aggravating symptoms appear that were not present immediately after removal. You shouldn’t delay visiting a doctor; it’s better to play it safe and make an appointment for an examination.

It's time to go to the doctor

If you observe the following symptoms in yourself or your loved ones for several days after tooth extraction surgery (more than three days):

pain intensifies;
the pain changes in character or is specific;
gums become red;
gums have acquired a bluish tint;
swollen gums;
there is a bad smell from the mouth;
cheek swollen;
body temperature increased;
Pus comes out of the root socket of the tooth.

Important! The area in the gum begins to hurt after tooth extraction three hours later. Normally, pain can be intermittent or constant, subsiding or recurring. Starting from the third day, the pain decreases and disappears completely.

Difficult case

All previous characteristics relate to conventional tooth extraction, with one or more roots. But there are times when the operation goes beyond the standard surgical procedure. These include the removal of a dystopic wisdom tooth. During this operation, which takes longer, all tissues are injured much more than during standard removal. Here, pain is allowed in the postoperative period for up to one and a half weeks. The pain may also be accompanied by swelling of the gums, a swollen cheek, headaches, and neck pain. All these symptoms are considered not dangerous and go away without medical or other intervention.

Help yourself

Usually, surgeons do not recommend doing anything with the wound that remains after tooth extraction. But pain does not have to be endured, especially for people who have a low pain threshold. There is a whole arsenal of remedies, from official medications to folk remedies, that can reduce pain and alleviate the plight of a patient who has lost a tooth.

Table. Medicines to relieve pain after tooth extraction

Drug Action

	The drug is potent. The pain is relieved within 20 minutes. Moreover, it copes even with severe pain. Lasts effect for 6 hours. Can be taken up to 4 times a day.
	Refers to super potent drugs. The pain goes away within a quarter of an hour. This drug should not be abused.
	It is not considered a serious anabolic that helps with toothache, but it successfully relieves pain of mild to moderate severity.
	Even softer and weaker in action than analgin. Effective only for mild and non-intense pain.
	It has rather weak anabolic properties, but at the same time has an anti-inflammatory effect, so it is preferred for moderate and mild pain to analgin and baralgin.

Each person is used to dealing with pain using their own methods. For some, only a group of ketorolac helps, while others are completely satisfied with baralgin. And for some people it is not necessary to take potent drugs with a lot of side effects - simple folk remedies are enough.

People's Arsenal

The simplest, most harmless and effective remedy that can be used by everyone without exception to relieve post-operative toothache is a cold compress. Effective in the first day after removal. In many private clinics, the patient is sent home after surgery with an ice bag applied to the cheek. At home, it is good to use ice in which just water or a decoction of medicinal herbs is frozen. Any item from the freezer will do, such as a piece of frozen meat. Just wet the towels with cold water, apply them and change them as soon as they reach body temperature. There is a cooling patch in the pharmacy that has the same effect as a compress - it freezes the nerve endings and relieves pain.

Important! Rinses during tooth extraction can be used only after three days after the operation. And then these should not be rinses, but rather baths. Take a herbal decoction or saline solution into your mouth, hold it without unnecessary movements of the liquid, and spit it out. All this is to quickly relieve inflammation, but not to move or wash away the blood clot.

A remedy that will not cause harm, but only benefit, is propolis. It has strong antibacterial properties, therefore, to normalize and disinfect the microflora in the mouth, it is recommended to hold a piece of propolis in the socket of an extracted tooth.

How to reduce pain after tooth extraction without drugs or other remedies

Severe pain that occurs after surgery can be partly avoided by taking certain actions that do not involve taking medications or using folk remedies.

After the operation and the end of the anesthesia, it is better not to eat for as long as possible. Drink a cocktail, gazpacho, smoothie, liquid semolina, kefir, eat cream soup, preferably through a cocktail straw.
When you start eating, don't eat it too cold or hot.
Until the hole heals, do not eat sour, salty, spicy, sweet and bitter foods that irritate the mucous membrane.
For the first three days, do not disturb the wound. Do not touch it with your tongue, and especially do not pick it with a toothpick, in a paranoid search for a fragment of a tooth that a careless doctor left there.
Do not rinse your mouth, even with clean water.
Do not breathe with your mouth open, especially the day after surgery. Along with the cold air, which will irritate the wound, germs can also enter the mouth.
Try to refrain from smoking and alcohol, especially do not rinse the wound with alcohol “for disinfection.”
Do not stay in a room with high temperature, do not visit a bathhouse, sauna, or take a hot bath.
Do not apply warm compresses to the gums.
Sleep on a high pillow.

Any surgical intervention leads to pain. Pain syndrome is a natural reaction of a healthy body to irritants of nerve endings. Listen to your body. Pain can either be a signal that everything is fine and the healing process is proceeding normally, or it can signal that something is wrong and you need help to prevent destructive consequences for the body.

Video - Tooth extraction

Why does pain occur?

It is considered normal when pain at the site of an extracted tooth lasts from 2 to 5 days. At this time, it is important to remember how to behave correctly after tooth extraction and follow the dentist’s recommendations.

Causes of prolonged pain may include:

the degree of complexity of the operation performed (simple removal or with cutting of the gums, for example, with complex! removal of a wisdom tooth!);
low qualifications of the doctor, who could cause additional injury;
individual characteristics of the patient;
non-compliance with recommendations;
development of complications.

If after 5 days the pain does not subside, or even becomes stronger, you need to urgently consult a dentist. This may indicate the development of complications.

Complications

The following complications may occur for various reasons.

1. Alveolitis

Inflammation of the walls of the alveoli - the hole left after tooth extraction.

Absence of a blood clot, which should protect the alveoli;
Violation of wound care rules (without using antiseptics);
Poor quality treatment of the alveoli;
Presence of carious teeth.

Symptoms:

Increased pain a few days after removal;
Fever;
Bad breath;
Deterioration in general health;
Sharp pain when touching the gums.

If alveolitis develops, you need to urgently consult a doctor, because only competently performed procedures to remove pus and therapeutic treatment will help.

2. Hematoma

Consolidation of a blood clot in the socket, leading to swelling of the gums.

Injury to blood vessels during anesthesia;
Hypertension;
Diabetes mellitus.

Symptoms:

Swelling of the gums and cheeks;
Increase in temperature;
Increasing pain, especially when touching the cheek;
Blueness of tissues after a few days.

Self-medication in this situation is unacceptable. The doctor will make an incision, rinse the gum and drain the pus. The use of antibiotics and antiseptics is indicated.

3. Remains of the tooth root in the socket

The reason may be the carelessness of the doctor or the inaccessibility of the roots.

In this case, the pain will continue until the doctor removes it again.

4. Osteomyelitis

Inflammation of the bone or bone marrow.

Infection in the hole.

Symptoms:

Jaw pain;
Swelling of the gums;
Cheek tumor;
Increase in temperature.

Treatment requires hospitalization. Antibiotics and surgical methods for clearing suppuration are used.

5. Nerve damage

In this case, pain, on the contrary, may be completely absent.

Symptoms:

Numbness of the tongue, lips, jaw; Discomfort while eating, talking;
Injuries and tongue biting.

This disorder usually does not require treatment. Sensitivity will be restored within a month.

6. Perforation of the maxillary sinus

A complication is possible after the removal of the upper molars.

A hole forms in the thin bone through which microbes from the oral cavity enter the sinus.

Symptoms:

Leakage of air or blood through the socket into the mouth;
Liquid entering the nose through the hole.

It is necessary to urgently consult a doctor for treatment.

After extraction, the tooth hurts for no more than 5 days (after a complex extraction - up to 7). If the pain lasts longer, this indicates the presence of complications. A doctor's consultation is required.

zubi5.ru

Pain after tooth extraction

How long can the pain last? If there is moderate pain in the first 2-4 days, then this is normal. The discomfort lasts longer if there was inflammation or a wisdom tooth was pulled out. This phenomenon is explained by ordinary gum trauma, which occurs even with uncomplicated tooth extraction.

What to do if your gums hurt after tooth extraction?

The situation when a tooth is pulled out, but the gums ache and the pain interferes with normal activities is familiar to almost everyone. All negative sensations should be treated at home carefully so as not to provoke infection and wash out the formed clot from the wound. The following measures help best:

Apply a cool compress to the cheek at the surgical site. This measure significantly helps relieve swelling and pain, and the formation of a hematoma is less active.
When the hole periodically bleeds, it is better to apply an application of a sterile bandage, previously soaked in an antiseptic, to it. If you have frequent bouts of bleeding, you should not constantly apply compresses; you should immediately go to the dentist!
Painkiller for a short period of time, but still helps relieve pain. The main thing is not to use such medications too often.

Related article: gum pain and bad breath after tooth extraction - what are these symptoms?

When should you see a doctor?

Pain is normal after a tooth has been pulled out. However, a person needs to monitor his condition in order to determine in time when this symptom becomes a sign of a pathological process. The following factors indicate inflammation:

swelling;
pus in the wound;
weakness;
spread of pain to other parts of the face;
pulsation in the hole.

What to do in case of complications

For any of the complications, you should not try to treat yourself or simply relieve symptoms that bother you. The intervention of a dentist is always required, who must carry out measures to clean and disinfect the hole in order to prevent the spread of necrosis.

Alveolitis

The resulting hole is washed out with Chlorhexidine or furatsilin solution. The area is first numbed. If the inflammation is minor, then these antiseptic solutions are replaced with hydrogen peroxide. The treatment procedure for alveolitis involves the extraction of all dead particles.

When the hole is cleaned and dried, special antibacterial compounds are injected into the wound to prevent the infection from worsening. A small bandage soaked in an anesthetic is applied to the gum itself. Active healing begins on the second day.

When alveolitis is advanced, physiotherapy is additionally required. Its measures have a general strengthening effect on the body. At the same time, the patient takes vitamins and antibiotics.

Neuritis

Severe pain that occurs with the disease is treated through broad anti-inflammatory therapy. For severe symptoms, blockades are made with novocaine. They are repeated if necessary until the signs disappear. As in the previous case, vitamin therapy and physiotherapy are required.

Cyst

The nature of treatment for a cyst is determined by its characteristics and degree of spread. Sometimes complex antibacterial therapy is sufficient, but if the cyst is large, it must be removed surgically. The operation can go almost unnoticed by the patient if it does not have time to affect nearby teeth.

Laser treatment is used to treat damage to adjacent teeth. This technique simultaneously relieves inflammation and stops the growth of the cyst. Laser dialysis is complemented by conventional surgery to remove tooth fragments. In the future, the patient is selected drugs for conservative therapy.

Hematoma

Bruising is not dangerous to humans and does not cause severe symptoms, but it does cause other inconveniences. To quickly get rid of a hematoma, it is better to regularly apply medicine to the injury to speed up its resorption and remove swelling.

Sometimes such a sign indicates an infection, so for prevention, rinses with antiseptics are regularly done, and even antibiotics are used. A pressure bandage can prevent the hematoma from spreading.

Video: Pain after tooth extraction causes, duration, numbness.

Why does my gum hurt?

The appearance of pain after tooth extraction is a normal physiological reaction of the body to tissue damage. The intensity of these unpleasant sensations largely depends on the surgical technique, the characteristics of anesthesia, the location of nerves and blood vessels near the tooth being removed, as well as the sensitivity and susceptibility of the patient. In addition, the gums in the area of the postoperative wound may also hurt for other reasons, which include such adverse consequences as alveolitis (inflammation of the tooth socket), formation and suppuration of a hematoma, damage and limited inflammation of the jaw bone, dislocation of an adjacent tooth and other quite serious conditions. .

Character of pain after normal removal

The tooth extraction procedure itself is always anesthetized, so intense pain in the gums appears an hour or two after the operation. The next day, the pain, as a rule, decreases, and by 3-4 days it disappears altogether. Swelling, on the contrary, occurs more often the next morning after removal. In addition, sometimes the patient is bothered not only by the gums, but also by the neighboring teeth, since during the operation they are sometimes touched by instruments. As for the nature of postoperative pain, it can be described as aching.

Pain after complex tooth extraction

Complex removal includes cases of extraction of teeth with curved and branched roots, severely damaged or crumbling crowns (when the doctor cannot grasp the tooth normally). In such situations, the dentist sometimes has to simply cut out the root from the jaw or extract it in parts. Therefore, the pain after such operations can be very severe and last up to 7 days.

Severe painful sensations also occur after the removal of a wisdom tooth, especially if it has not completely erupted, since the doctor must first provide access to it (cut the soft tissue, peel it off from the bone) and carry out other rather traumatic manipulations. After such operations, many patients find it difficult to open their mouths; when swallowing, their throats on the injured side become very sore.

Possibility of complications

Every person should monitor their well-being after tooth extraction in order to immediately notice any changes and consult a doctor in time. You need to start worrying in the following cases:

severe pain appeared 2-3 days after surgery;
the gums hurt for a long time and the discomfort increases;
the pain became throbbing;
if a few days after the procedure there is a feeling of tension and pain when touching the postoperative hole;
if the gums are swollen, the cheek is swollen, the temperature rises and bad breath appears.

Immediately after the operation, you should follow all the doctor’s recommendations (take prescribed medications, follow a diet and the necessary hygiene rules, etc.). This will help reduce the intensity of pain and prevent the development of complications. Well, if the symptoms described above appear, you should immediately contact your dentist.

It is impossible to self-medicate when pathological signs occur, especially not to rinse your mouth intensively and carry out similar procedures, since this can lead to the loss of a blood clot, which protects the postoperative socket from infection. It is also forbidden to make warm compresses, as this can accelerate the development of serious complications (abscess, phlegmon, osteomyelitis), and independently apply tampons, cotton wool, lotions and other dressings to the wound that promote the accumulation and development of microorganisms.

How to reduce pain?

To reduce postoperative pain in the gums, it is necessary to take an anesthetic drug from the group of non-steroidal anti-inflammatory drugs (for example, Nurofen). After the removal of a molar, when very intense pain appears, you can use a stronger analgesic - ketanov, but it should not be abused, especially without a doctor’s prescription.

In addition, antihistamines, for example, suprastin, will help cope with pain. It reduces tissue swelling and enhances the effect of painkillers, and also has a general calming and some hypnotic effect, so after taking it it becomes easier for the patient to fall asleep.

For local treatment of damaged gums, you can use baths with special antiseptics or a decoction of plants (sage, chamomile, oak bark) cooled to room temperature. This procedure should be carried out carefully: take the medicinal composition into your mouth and hold it there for a while, then simply spit it out, but do not rinse.

A cold compress also has an analgesic effect. To avoid frostbite, apply it to your cheek through a thick cloth and only for 10-15 minutes. Later, if the pain returns, the procedure can be repeated.

If inflammatory complications develop, the patient is cleaned of the postoperative socket from purulent masses and prescribed a course of antibiotics. These measures allow you to quickly cope with even severe pain in the gums.

www.infmedserv.ru

Why do my gums hurt after tooth extraction?

Tooth extraction is directly related to injury to the soft tissues of the oral cavity, which are penetrated by nerve endings. Since the operation is performed under local anesthesia, the only inconvenience the patient experiences during the procedure itself is the need to sit with his mouth open. And only when the tooth has already been pulled out and the anesthesia has worn off does pain come into its own. Usually it is aching in nature and does not interfere too much with the normal rhythm of life.

But sometimes the painful sensations manifest themselves very intensely and are in no way similar to the body’s natural reaction to surgical intervention. Severe throbbing pain can occur for the following reasons:

Poor quality treatment. The human factor in dentistry is no less important than in other areas. If the doctor does not completely remove the cyst or tooth root, then inflammation quickly develops in this place, and the gums begin to hurt.
Alveolitis. This is an inflammation of the hole in which the tooth used to be. The disease appears due to disturbances in the formation of a blood clot that closes the wound: it either did not appear at all or was displaced. As a result, an infection gets into the hole, which provokes further pain and swelling of the gums. With simple tooth extraction, alveolitis is observed in approximately 3 cases out of 100; with complex tooth extraction, the number increases to 20 cases.
Trigeminal neuritis. As a rule, this is encountered by patients who have “lost” one of the teeth in the lower row. In the thickness of the lower jaw there is a branch of the trigeminal nerve, which the dentist can damage when pulling out a deeply embedded tooth root. With neuritis, the pain is sudden and shooting in nature. Most often it spreads not only to the teeth and gums, but also to the temples, eyes, and neck. Externally, the gums do not change in any way: there is no redness or swelling.

Thus, two types of pain can be distinguished: normal and indicating pathology. The first one you just need to endure, the second one – go to the doctor. The following symptoms indicate the need to visit a dentist:

the pain is constantly getting worse;
an unpleasant “aroma” appeared from the mouth;
there is excessive swelling of the gums or swelling of the cheek;
the temperature rose to 38 C, provided that before the operation it was within the normal range;
pus is released from the hole.

How long does a tooth hurt after extraction?

Pain appears approximately 3 hours after completion of the operation. It can be either constant or occur from time to time. But every day the painful sensations decrease, completely disappearing within 3-4 days.

It’s a different matter if a complex extraction was carried out: for example, it was a dystopic wisdom tooth. In this case, the tissues are injured much more severely than with a simple operation, and pain is observed for up to 1-1.5 weeks. Often painful sensations are accompanied by swelling of the cheeks, swelling of the gums, and headache. These symptoms are not dangerous and go away on their own.

A tooth has been removed and your gums hurt: what to do?

One way or another, if your gums hurt after tooth extraction, all you can do is wait. You can brighten up the wait with painkillers:

Ketanov is a potent prescription drug with some toxicity. Relieves pain very quickly, the effect lasts up to 6 hours;
Ketorol is an analogue of Ketanov;
Nimesulide – relieves pain in 15-20 minutes. Refers to potent drugs, sold only by prescription;
Analgin - helps with mild and moderate pain syndrome;
Baralgin – contains analgin. A relatively weak drug, effective for low-intensity pain;
Spasmalgon - in addition to a mild analgesic effect, is characterized by an anti-inflammatory effect. Should be used for moderate pain.

Everyone has their own favorite pain reliever. This is what you should use. But there is no need to stuff the body with “heavy” drugs if the pain is very mild: potent drugs, as a rule, have an impressive list of side effects.

If you don’t want to take medications for such “trivial” pain, then you can turn to folk remedies:

Cold compress. Effective during the first 24 hours after the procedure, then it will be completely useless. You need to moisten a towel in cold water and apply it to your cheek on the problematic side. Alternative compress options include an ice cube, frozen meat, or a bottle of water. The cold freezes the nerve endings, thereby relieving pain.
Mouth baths. An excellent basis for such procedures is various natural decoctions, best of all chamomile, oak bark or St. John's wort. You need to take a little broth into your mouth, hold it for half a minute and spit it out. Antiseptic baths not only relieve inflammation, but also help wounds heal faster.
Rinse. A soda or saline solution works great. They should rinse their mouth 3-4 times a day, but only after 3 days after removal. If you carry out the procedure earlier, there is a risk of washing out the blood clot that protects the socket and causing inflammation. To prepare the solution, you need to dilute 1 tbsp. l. salt or soda in a glass of warm water.

As a rule, if the pain is not caused by any complication, then to relieve it it is enough to apply cold on the first day, and then from time to time take a mild pain reliever.

How to prevent pain after tooth extraction

You can significantly increase your chances of almost painless rehabilitation if you follow these recommendations for the first 3 days:

do not disturb the wound, namely, do not touch it with your tongue, checking how it is, do not clean the hole with a toothpick;
do not rinse your mouth, content yourself with antiseptic baths;
do not eat cold or hot;
do not breathe through your mouth so as not to irritate the wound with cold air;
give up sweets;
do not smoke or drink alcohol;
Do not apply warm lotions to your cheek or gum, or take a hot bath.

Discomfort after tooth extraction is normal. But everything has its own measure: if the pain intensifies hourly, and the cheek is swollen to half the face, then there is nothing else to do but go to the dentist.

healthy-teeth.su

Why does pain occur after tooth extraction?

The upper and lower jaws are innervated, respectively, by the superior and inferior alveolar nerves, which are branches of the trigeminal nerve (the main sensory nerve of the head and face) and form the superior and inferior alveolar nerve plexuses.

The superior and inferior alveolar nerves innervate the following anatomical structures:

gums;
periodontium – a complex of tissues surrounding the tooth root;
teeth: dental nerves along with blood vessels enter the pulp through an opening at the root apex.

Together with the tooth, the dentist removes the nerve located in it. But the nerve endings located in the gums and periodontium remain. Their irritation is responsible for the occurrence of pain after tooth extraction.

Typically, pain persists for 4 to 7 days.

Factors on which this depends:

complexity of the intervention: location of the tooth (incisors, canines, small or large molars), condition of the tooth and surrounding bone tissue, size of the tooth root;
following the dentist’s recommendations after removal: if they are followed, pain can be completely avoided;
the doctor’s experience, how carefully the doctor removes teeth;
equipment of the dental clinic: the more modern instruments are used for tooth extraction, the less pain will bother you;
patient characteristics: some people feel pain more acutely, others not so much.

The best solution is to contact your dentist again for an examination and consultation. Painkillers can be used as a temporary measure.

What does the hole look like after tooth extraction?

After tooth extraction, a small wound remains.

Stages of socket healing after tooth extraction:

1 day	A blood clot forms in the lenka. It is very important for the normal healing process. Under no circumstances should it be torn off or picked out.
3rd day	First signs of healing. A thin layer of epithelium begins to form on the wound.
3 – 4 days	At the site of the wound, granulations form - connective tissue, which participates in the healing process.
7 – 8 days	The clot has already been almost completely replaced by granulations. Only a small part of it inside the hole is preserved. On the outside, the wound is actively covered with epithelium. New bone tissue begins to form inside.
14 – 18 days	The wound at the site of the extracted tooth is completely overgrown with epithelium. The clot inside is completely replaced by granulations, and bone tissue begins to grow into them.
30 days	New bone tissue fills almost the entire hole.
2 – 3 months	The entire hole is filled with bone tissue.
4 months	The bone tissue inside the socket acquires the same structure as the upper or lower jaw. The height of the edges of the socket and alveoli decreases by approximately 1/3 of the height of the tooth root. The alveolar ridge becomes thinner.

The wound at the site of the extracted tooth goes through all the described stages only if prosthetics are not performed.

What should you do after tooth extraction?

Usually, after tooth extraction, the dentist gives recommendations to the patient. If they are strictly followed, you can either avoid toothache completely or significantly reduce its intensity and duration.

Avoid physical activity. Rest should be passive whenever possible. At least during the first two days after tooth extraction.
Do not eat during the first 2–3 hours after the procedure. Food injures the fresh wound and leads to pain, which can subsequently persist for a long time.
For several days, you should not chew food on the side where the tooth was removed.
Avoid smoking and drinking alcoholic beverages for several days. Cigarette smoke and ethyl alcohol irritate the mucous membrane of the gums, causing the development and intensification of pain.
Do not touch the hole with your tongue, touch it with toothpicks or any other objects. There is a blood clot in the socket, which is very important for healing. If food particles get into the hole while chewing, then you should not try to remove them: you can remove the clot along with them. It is better to rinse your mouth after eating.
Mouth rinses after tooth extraction are useful. But you shouldn't start them from day one.
If the pain intensifies, you can take painkillers. But before doing this, it is highly advisable to consult a doctor.

Mouth rinses can be started from the second day after tooth extraction. In this case, solutions prescribed by the dentist are used.

Preparation	Description	Application
Chlorhexidine	Antiseptic. Used to prevent infection of the socket after tooth extraction. Sold in pharmacies in the form of a ready-made 0.05% aqueous solution for mouth rinsing, which has a bitter aftertaste.	Rinse your mouth several times a day. While rinsing, keep the solution in the mouth for at least 1 minute.
Miramistin	Antiseptic solution. Its ability to destroy pathogens is inferior to chlorhexidine solution, but is active against herpes viruses. Available in bottles that come with a spray nozzle.	Rinse your mouth with Miramistin solution 2 - 3 times a day. While rinsing, keep the solution in the mouth for 1 to 3 minutes.
Soda-salt baths	Rinse your mouth with a strong solution of salt and table soda. As a rule, it is recommended by dentists in cases where there is an inflammatory process in the gum, when an incision was made in order to release pus.	Rinse your mouth 2 – 3 times a day. While rinsing, keep the solution in the mouth for 1 to 3 minutes.
Herbal infusions	Sold ready-made in pharmacies. It is preferable to use infusions of chamomile, calendula, and eucalyptus. They have a weak antiseptic effect (much weaker than Chlorhexidine or Miramistin)	Rinse your mouth 2 – 3 times a day. While rinsing, keep the solution in the mouth for 1 to 3 minutes.
Furacilin solution	Furacilin is an antimicrobial agent that is effective against many types of pathogens. Available in two forms: Ready-made solution for mouth rinse in bottles. Pills. To prepare a rinse solution, you need to dissolve two Furacilin tablets in a glass of water (200 ml).	Rinse your mouth 2 – 3 times a day. While rinsing, keep the solution in the mouth for 1 to 3 minutes.

On the first day after tooth extraction, mouth rinses are not performed. The blood clot that is in the hole is still very weak and can be easily removed. But it is extremely important for normal healing.

Start rinsing your mouth from day 2, as prescribed by the dentist. In this case, intensive rinsing is unacceptable, as it can lead to the removal of a blood clot. Baths are performed: the patient takes a small amount of liquid into the mouth and holds it near the hole for 1 to 3 minutes. The liquid is then spat out.

In the first 2 hours after tooth extraction, you must refrain from eating. During the first day, you should not eat hot food, as it will irritate the wound and lead to increased pain.

eat only soft foods
avoid sweets and very hot foods
do not drink drinks through a straw
give up alcohol
do not use toothpicks: replace them with mouth rinses (baths) after each meal

How long can a socket bleed after tooth extraction?

Bleeding after tooth extraction may continue for several hours. If during this time an admixture of ichor appears in the saliva, this is normal.

Measures that can be taken if severe bleeding appears several hours after tooth extraction:

Bite the gauze swab on the hole and hold it for a while. The bleeding must stop.
Apply cold to the place where the extracted tooth is located.

If this does not help and severe bleeding persists, you should immediately visit a dentist.

Swelling of the cheek after tooth extraction

Tooth extraction is considered a microsurgical intervention in dentistry. This is a trauma for the tissues of the oral cavity. After complex extractions (irregularly shaped tooth roots, lack of a crown, removal of a wisdom tooth), swelling almost always develops. Usually it is not very pronounced and does not last long (depending on the complexity of the intervention).

If the swelling is quite severe and persists for a long time, then most likely it is caused by an inflammatory process.

Possible causes of the inflammatory process that causes swelling of the cheek after tooth extraction:

errors in the doctor’s compliance with the rules of asepsis and antisepsis during tooth extraction
violation of the dentist's recommendations by the patient
insufficient sanitation (cleansing of pathogenic microorganisms) by the dentist of the wound after tooth extraction
allergic reactions to medications used during manipulation;
decrease in the patient's immune defenses

If, after tooth extraction, slight swelling occurs on the face, its resorption can be accelerated by the following measures:

in the first few hours - applying cold to the cheek
subsequently, apply dry heat.

Signs indicating that a patient requires urgent dental care:

the swelling is very pronounced
swelling does not go away for a long time
severe pain occurs that lasts for a long time
body temperature rises to 39 – 40⁰C
the patient’s general well-being is disrupted: headache, increased fatigue, drowsiness, lethargy occur
over time, these symptoms not only do not decrease, but also increase even more

In this case, you should immediately contact your dentist. Most likely, the doctor will prescribe antibiotics after examination. Additional studies may be required: general blood test, bacteriological examination of oral smears, etc.

Increase in body temperature after tooth extraction

Normally, body temperature can rise within 38⁰C for no longer than 1 day. Otherwise, we can talk about the development of an inflammatory process. Its causes and main symptoms are similar to those described above when considering cheek swelling.

If the body temperature rises within 38⁰C on the first day, it is enough to simply follow the recommendations given by the dentist. If the temperature rises and persists for a long time, you must visit the dentist or call a doctor at home.

Complications after tooth extraction.

Dry socket is the most common complication after tooth extraction. It is this that is the main cause of the development of a more serious complication - alveolitis.

Causes of dry socket:

no blood clot formed in the socket after tooth extraction
a clot formed, but was then removed due to eating hard foods on the first day after removal, rinsing too vigorously, and trying to remove food trapped in the socket using toothpicks and other hard objects.

Dry socket treatment

If you suspect that you have this complication, you should visit your dentist as soon as possible. As a rule, the doctor applies compresses with medicinal substances to the tooth and gives the patient further recommendations. The main goals of dry socket treatment are to speed up the healing process and prevent the development of alveolitis.

Alveolitis is an inflammation of the dental alveolus, the cavity in which the root of the tooth was located. Causes of alveolitis:

The patient’s violation of the dentist’s recommendations after tooth extraction and the rules of oral hygiene.
Damage and removal of a blood clot located in the socket. Most often this happens when trying to get stuck food particles out, during intense rinsing.
Insufficient treatment of the hole, violation by the dentist of the rules of asepsis and antisepsis during tooth extraction.
Reduced immunity in the patient.

Symptoms of alveolitis:

A few days after tooth extraction, the pain increases with renewed vigor and does not go away.
Increased body temperature over 38⁰C.
The appearance of a characteristic bad breath.
Touching the gums is accompanied by severe pain.
Deterioration of the patient's well-being: headache, increased fatigue, drowsiness.

Treatment of alveolitis

If the symptoms described above occur, you should immediately visit your dentist.

Activities that take place in the dentist's office:

Anesthesia (injection into the gums of a solution of lidocaine or novocaine).
Removing the infected blood clot, thoroughly cleaning the socket.
If necessary, curettage of the hole - scraping it, removing all foreign bodies and granulations.
Treating the inner surface of the hole with antiseptic solutions.
A tampon soaked in medicine is placed on the hole.

In the future, it is necessary to rinse your mouth daily with antiseptic solutions and strictly adhere to all doctor’s recommendations. If necessary, the dentist prescribes antibacterial drugs.

Antibiotics used

Drug name	Description	Directions for use
Josamycin (Valprofen)	A fairly strong antibacterial drug, which rarely, unlike others, develops resistance from microorganisms. Effectively destroys most pathogens of inflammatory diseases of the oral cavity. Available in the form of 500 mg tablets.	Adults and adolescents over 14 years of age take the drug in a dosage of 1–2 g per day (usually initially prescribed 1 tablet of 500 mg once a day). The tablet is swallowed whole, washed down with a small amount of water.
Hexalize	A combination drug containing the following components: Biclotymol is an antiseptic, effective against a large number of pathogens, and has an anti-inflammatory effect. Lysozyme is an enzyme that has an antimicrobial effect. Enoxolon is a drug that has antiviral, antimicrobial and anti-inflammatory effects. Hexalize is available in tablets, each containing 5 g of each active ingredient.	Adults are prescribed 1 tablet every 2 hours. The maximum daily dose is 8 tablets.
Hexasprey	Almost an analogue of Hexaliz. The active ingredient is Biclotymol. The drug is available in cans as a spray for spraying in the mouth.	Inhalation is carried out 3 times a day, 2 injections.
Gramicidin (Grammidin)	Grammidin is a powerful antibiotic that destroys most pathogens present in the oral cavity. Available in the form of lozenges, each of which contains 1.5 mg of active substance (corresponding to 500 action units).	Prescription for adults and children over 12 years of age: 2 tablets 4 times a day (take one tablet, after 20 minutes - the second). Prescription for children under 12 years of age: 1 – 2 tablets 4 times a day. The total duration of taking Gramicidin for alveolitis is usually from 5 to 6 days.
Neomycin (synonyms: Colimycin, Mycerin, Soframycin, Furamycetin)	Broad spectrum antibiotic – effective against a large number of types of microorganisms.	After cleaning the hole, the dentist puts Neomycin powder into it and covers it with a tampon. Soon after this, pain and other symptoms of alveolitis disappear. It is often necessary to repeat the procedure after 1 – 2 days.
Oletetrin	Combined antibacterial drug. It is a mixture of Oleandromycin and Tetracycline in a 1:2 ratio.	Olethethrin is used similarly to Neomycin: antibiotic powder is placed in the well. Sometimes, to reduce pain, a local anesthetic, anesthesin, is added to the antibiotic.

Complications of alveolitis:

periostitis - inflammation of the periosteum of the jaw
abscesses and phlegmons - ulcers under the mucous membrane, skin
osteomyelitis – inflammation of the jaw

Rare complications after tooth extraction

Osteomyelitis is a purulent inflammation of the upper or lower jaw. Usually a complication of alveolitis.

Symptoms of osteomyelitis of the jaw:

severe pain that gets worse over time
pronounced swelling on the face at the site of the extracted tooth
increase in body temperature
health problems: headaches, increased fatigue, drowsiness
subsequently, inflammation can spread to neighboring teeth, involving increasingly larger areas of bone, while the patient’s well-being worsens

Treatment of osteomyelitis of the jaw is carried out in a hospital.

Directions of treatment:

surgery
use of antibiotics

Sometimes, during tooth extraction, a nearby nerve may be damaged. This happens when the tooth root has an irregular, complex shape, or when the dentist is insufficiently experienced.

If the nerve is damaged during tooth extraction, numbness of the oral mucosa in the cheeks, lips, tongue, and palate is observed (depending on the location of the tooth). Nerve injuries are usually minor and resolve within a few days. If recovery does not occur, you should consult a doctor. Physiotherapy will be prescribed.

www.polismed.com

Normal and signs of complications

Since tooth extraction is a full-fledged surgical operation, pain is inevitable. During the removal process, nerve endings and blood vessels are injured, bone is injured, so pain in the gums is inevitable.

The following course of the postoperative period is considered normal:

aching pain (no pulsation, shooting);
every day the pain becomes less;
In the first three days, swelling in the area of removal may increase, and from the third day onwards it subsides. After the removal of the lower wisdom teeth, it may be difficult to open the mouth due to swelling or facial asymmetry - this is also normal;
body temperature is normal or elevated on the first day after removal;
there is a blood clot in the socket on the first day, on the second day there is a white or grayish film, which is replaced over time by new mucous membrane;
The gums at the site of removal are red on the first day, and then, every day, they become less swollen and acquire a normal pale pink color.

The strength and severity of all these symptoms depends on the complexity of removal. If a tooth was removed due to periodontal disease, and this tooth was already mobile and its root was 1/3 in the bone, then after removal, the patient may not experience any discomfort on the first day. If the tooth was deep in the bone and to remove it it was necessary to make an incision, saw out or bite off part of the bone, saw the tooth into pieces and take it out piece by piece, and then apply sutures, then the pain will be normal even within a week.

What symptoms indicate that the healing of the hole is not going properly and there are complications?

The pain does not decrease every day, but remains at the same level or intensifies;
the nature of the pain is pulsating;
in the area of the extracted tooth, the gums are red and painful to touch;
swelling of the mucous membrane increases (as well as along the transitional fold or in the cheek area);
the appearance of bad breath;
elevated temperature.

If inflammation in the socket progresses after removal, this situation is called alveolitis. Such inflammation can occur both due to the fault of the doctor and the patient.

The dentist may accidentally leave part of the root of the tooth being removed or a mobile fragment of bone in the socket, may leave part of the cyst capsule, and may also fail to control the process of formation of a blood clot (there are cases when, after removal, the gum does not bleed and the socket is dry - the doctor must ensure filling the hole with blood, and if there is none, with special preparations to protect the bone).

The photo shows a dry socket after tooth extraction.

Through the fault of the patient, alveolitis most often begins due to non-compliance with recommendations:

active rinsing (as a result of which the clot is washed out and unprotected bone remains);
eating hot food and drinking on the first day or lifting weights (also leads to increased pressure and removal of the clot from the socket);
non-compliance with prescriptions (refusal of rinses, antibiotics or other prescribed therapy).

In addition, there are situations when complications after removal are associated with general health. With reduced immunity (due to taking corticosteroids, diabetes, leukemia and other diseases), blood clotting and resistance to infections are impaired - all this can cause alveolitis. If you have complex systemic diseases, you need to warn your doctor about them.

Prevention of complications

Normally, immediately after tooth extraction, there should be a red blood clot in the socket. On the second day, this clot becomes covered with a whitish or yellowish coating, and after a week, a new gum begins to appear at the site of removal.

The photo shows the healing process of a tooth socket: 1) socket after extraction; 2) red blood clot; 3) the formation of a yellowish-white coating; 4) gum healing.

In order for the gum healing process to proceed as quickly and painlessly as possible, you should adhere to the following general recommendations:

On the first day, keep it cold (freeze a bottle of water, wrap it in a towel and hold it for 10-15 minutes in the removal area, applying it to the cheek. Breaks are 10-15 minutes). Cold prevents swelling and is a good pain reliever.
In the first three days, diet. We exclude hard foods, fibrous foods (cabbage, meat), hot foods and drinks.
On the first day, we exclude physical activity (weight lifting, gym, etc.). The load leads to an increase in pressure, and due to the increased pressure, a blood clot can be washed out of the socket.
We don’t rinse our mouths on the first day. From the second day we make baths with antiseptics (we put the solution in our mouth, tilt our head to the side where it was removed, hold it for a minute, spit it out).
The day before removal and the first three days after, you can take antihistamines (loratadine, tavegil and others). In addition to the antiallergic effect, they also have a pronounced anti-edematous effect.
If it hurts a lot, we take painkillers. Nimesil, solpadeine, ibuprofen, ketanov or other drugs (as recommended by your doctor). It is better to choose one drug and not mix it with others.

All other measures (antibiotics, physiotherapy, etc.) are only as prescribed by your doctor.

What to do if alveolitis begins?

As mentioned above, alveolitis is an inflammation of the tooth socket. Here, in addition to normal tissue swelling, you will also experience redness of the mucous membrane, acute pain, and an odor from the socket (as pus and food debris accumulate there). These symptoms are increasing every day.

in the photo the process of the beginning of inflammation of the hole from the tooth (alveolitis), redness, the hole darkens, pus accumulates inside;

What does a surgeon do for alveolitis?

Anesthesia is given;
When everything has become numb, the surgeon cleans the tooth socket again (removes pus, tooth fragments or bones, if any, rinses the socket with solutions of antiseptics and antibiotics);
After treating the wound, there are two options: some kind of drug can be put into the hole. Or they can simply fill it with fresh, clean blood and wait for a new clot to form;
After cleaning, antibiotics, rinses, and epithelializing drugs are prescribed.

After such measures, a noticeable improvement occurs on the second or third day (pain and swelling begin to subside), but healing of the hole takes longer - up to three weeks.

Hematoma

In addition to alveolitis, another complication such as hematoma and suppuration of the hematoma occurs. At the same time, we see normal healing of the socket, but there is pronounced swelling and pain in the soft tissues (cheeks, along the transitional fold).

The main signs of a hematoma are:

swelling of the cheek in the area of the extracted tooth or at the site of anesthesia;
pain when touching the cheek;
the cheek is warmer than the surrounding tissues;
cyanosis appears on days 3-4;
the temperature may rise.

photo of the manifestation of a hematoma after tooth extraction: swelling of the cheek, cyanosis.

There can be many reasons for the formation of hematomas, but the main ones are:

trauma to blood vessels during anesthesia or removal of tooth fragments (all people have different blood vessels and the surgeon cannot say with certainty where the blood vessel will go);
problems with blood clotting (diabetes, leukemia).

If the hematoma is relatively small and there are no signs of suppuration, then drugs are prescribed to resolve the blood. If the hematoma is large and there are signs of suppuration (fever, sharp pain, redness of the cheek and increased skin temperature, tissue tension), then an incision is made along the transitional fold, pus and excess blood are released, and drainage is placed in the wound. After a week, the wound heals, leaving a scar.

Home treatment of hematomas is fraught with the formation of abscesses and phlegmons, which may require external incisions and subsequent cosmetic surgeries, and in advanced cases can cause serious complications for the body as a whole.

Pancreatitis is caused by self-destruction of pancreatic tissue by activated enzymes. Activation of enzymes that break down proteins and fats occurs in response to inflammatory changes in tissues.

Pancreatic changes in the activity of the pancreas occur as a response to the vigorous activity of enzymes. Excessive enzyme activity develops due to a number of factors:

Mechanical destruction. It consists of blocking the duct and blocking the outflow of gland juice. Develops due to adjacent diseases of the bile ducts and edema. Injuries are distinguished separately.
Neuroendocrine disorder. General disorders of the body's hormonal function - fat metabolism, carbohydrate metabolism. Reasons: abuse of fatty foods, alcohol.
Toxic and allergic disorders. Allergic reactions to systemic drugs, droppers.

Regardless of the factor in the development of pain, a pancreatic attack is often caused by a combination of factors and a negligent attitude towards health.

The ducts of the gland close, but the release of enzymes into the food taken does not stop. The active substances are released into the tissue of the gland itself. Enzymes are highly active proteins. The fat-digesting enzyme molecule is capable of breaking down 154 fat molecules. If a small part of the enzymes gets on the gland tissue, it leads to the death of cells and tissues.

Necrosis occurs - acute pancreatitis. During necrosis, enzymes of the tissue itself are released, enhancing the effect of active substances, worsening the outflow from the affected area, increasing the vulnerability of blood vessels. The cycle is completed.

Pain syndrome in chronic pancreatitis

The key process of chronic pancreatitis is the replacement of gland tissue with connective tissue. Sometimes salt compounds, often calcium, settle in the connective tissue, clogging the gland ducts (). The closed ducts continue to function, accumulating fluid, forming cysts. When it occurs, dull pain appears in the area under the stomach, increasing after a diet violation. More often, the sensations occur after heavy feasts or an excessive amount of food eaten. This happens due to the expansion of the stomach, pressing on the head of the pancreas, causing spasm, leading to pain. It occurs under the stomach, it feels deep in the abdomen. Depending on the eating disorders, the pain is short-term or becomes permanent.

The pain spreads to the area of the left sternum, affecting the shoulder, spreading to the back. If the disease progresses in the head of the gland, it spreads to the liver area. If the pathology affects the entire organ, the pain encircles.

There is an increase in pain in certain positions of the patient - lying on his back. Becomes weaker when sitting. Instinctively, the patient presses his legs to his chest in a sitting position - with this position the pain weakens.

According to statistics, with chronic pancreatitis, pain is observed in 9 out of 10 patients, and only 1 in 10 pancreatitis is not accompanied by painful sensations.

The attacks may recur. Doctors have created a scale of attacks:

Type A. Pain lasts up to 10 days, interspersed with long periods without pain.
Type B. Long periods of pain up to 30-60 days. This type is more common with.
Persistent, ongoing pain. It is an indication for surgical intervention and the use of narcotic painkillers.

How long does an attack of pancreatitis last?

The answer to the question of how long an attack of pancreatitis lasts lies in developmental aspects. Violation of the outflow of pancreatic juice and an increase in pressure in the lumen of the duodenum lead to the reflux of contents into the gland duct. The duct is not designed for this; small breaks occur, into which active bile enzymes from the intestines enter. They activate their own pancreatic enzymes. The process of inflammation and destruction of pancreatic tissue begins.

Treatment of pain due to pancreatitis

The issue of treating pain syndrome in chronic inflammation of the gland is complex; pain and gland disorder have to be treated simultaneously.

The golden mean is observed when the functions of the gland are restored. Favorable conditions are created for the organ through a strict diet and pain relief. After the pain disappears, the inflammatory process in the gland is relieved and treatment is carried out to restore function.

It is necessary to occupy the gland by restoring the outflow of pancreatic juice, then the pain will subside. For these purposes, non-narcotic analgesics and antispasmodics are used in a hospital setting. Good results are observed when using drugs that block choline receptors, using ganglion blockers.

For persistent pain of an increasing nature, analgesics are administered intravenously - novocaine, diphenhydramine, papaverine, combined with saline, magnesium sulfate and ascorbic acid.

In some cases, doctors resort to the use of serious analgesics - tramadol and others. Sometimes the described therapy is replaced by paracetamol with non-steroidal anti-inflammatory drugs. In extreme cases, narcotic analgesics allow the patient to survive until surgery.

Depending on the stage, the pain can last a long time without subsiding. For such pancreatitis, surgical treatment is recommended. An operation is performed to remove part of the gland or duct.

Home remedies to relieve pain

Selected measures can temporarily lull the pain and relieve the symptoms of acute pancreatitis. Conventionally, the measures are called “Cold, hunger and peace”:

Refusal of food. The minimum time is one day. The measure is due to the need for enzymatic unloading of the gland.
Apply a cold compress or a bottle of cold water to the navel area to eliminate swelling.
Water mode. Increasing the liquid to 2 or more liters of warm water.
Elimination of spasm. Taking antispasmodics.
Peace from stress. Avoid physical and psychological stress.

The following simple actions ease and relieve pain. It is important to remember that moderation in consuming foods not recommended for pancreatitis will only provoke pain. You should take medications to relieve pain after a specific doctor’s prescription.

Toothache is one of the most severe types of pain that a person can experience. Toothache always occurs at the wrong time, if at all we can talk about the right moment. To effectively combat it, you need to understand its causes. What causes acute toothache? How long can you endure and how to calm the pain?

Toothache ruins work plans, forces you to give up entertainment, takes over your consciousness and subjugates you to your will. “Well, why now, what happened?” you think, trying to understand what is happening, and you are on the right track, because it is by searching for the real cause of toothache that you need to begin its treatment.

Why does acute toothache occur?

Any pain, including toothache, indicates trouble in your health, so your task is not just to numb the pain with pills, but to find and eliminate its cause.

The cause of toothache may be:

Thinning of tooth enamel as a result of its demineralization due to a lack of vitamins and microelements such as calcium, phosphorus and fluorine. In this case, toothache is aching in nature and occurs mainly during meals, especially sweets, or when drinking cold and hot drinks.

Scuffs, cracks and- all of them are of traumatic origin and are manifested by special sensitivity of the teeth to temperature changes and the chemical effects of food.

In the cervical area of the tooth, pain can also be caused by mechanical, thermal and chemical irritation of the tooth.

Caries. Superficial caries does not cause pain, but deep caries can cause anxiety. Carious pain is rarely severe, more often it is aching in nature, occurs mainly when food gets into the cavity formed in the tooth and disappears almost immediately after its cleansing.

Pulpitis- the result of deep caries and the consequence of the spread of the inflammatory process to the soft tissues of the tooth - the pulp. Pain with pulpitis occurs both when eating and regardless of it, for example, at night. It is twitching and so strong that it seems as if not just one tooth hurts, but the entire jaw or even half of the head.

It is characterized by inflammation of the connective tissue that surrounds the roots of the tooth and holds the tooth in place. The pain with periodontitis is not severe, but progresses with load on the tooth and is accompanied by a feeling as if it has grown and become taller than the rest of the dentition.

Formation, or purulent abscess, at the root of the tooth, is initially accompanied by aching toothache, which intensifies when the jaws are closed. Then, as the abscess grows, the pain intensifies, becomes tugging, bursting, the gum swells, and soon a protrusion becomes noticeable on its surface - the abscess itself.

The causes of pain in the teeth can be very far from the oral cavity. For example , pain may radiate to the teeth and jaws during angina and myocardial infarction. The source of pain can be diseases of the ear, nose and throat, injuries of the cervical spine, pathology of the temporomandibular joint, nerve diseases and malignant tumors of the maxillofacial area.

Sometimes tooth pain is psychosomatic in nature, that is, it occurs as a result of a strong one and is not associated with any diseases.

Pain after dental treatment, which lasts up to three days, is a completely natural reaction of the tooth to medical manipulation. The occurrence of pain after tooth extraction is the result of natural trauma to the tissues surrounding it.

What to do if your tooth hurts?

The ideal option is to immediately contact your dentist if you experience toothache. Firstly, this will allow you to quickly relieve pain, and secondly, it will prevent possible complications.

If a toothache occurs at night, if it is unbearable, if you cannot cope with the situation on your own in order to calmly see a doctor in the morning, try to relieve the pain yourself.

What can you do yourself?

Carefully clean all interdental spaces and carious cavities in the teeth from food debris; to do this, it is enough to rinse your mouth with warm water or a soda solution prepared at the rate of 1 teaspoon per glass of water.

Try not to chew on the painful side, keep your mouth closed if the pain intensifies when inhaling cold air, or slightly open if it progresses when the jaws are closed.

Try to distract yourself from unpleasant feelings, read a book, watch a movie, talk to someone.

Periodically rinsing the mouth with a soda-salt solution (1 teaspoon of salt and soda per glass of water) will help reduce swelling and inflammation and relieve toothache. Instead of soda and salt, you can use decoctions of medicinal herbs that have an anti-inflammatory effect, such as decoctions of chamomile, sage, oregano, peppermint, St. John's wort, noble laurel and others.

The pain will become less intense if you apply a cotton wool to the sore tooth, dipped in vodka or cognac. The dental nerve will become “saturated” with alcohol and stop sending pain impulses to the brain.

The pain will subside for a short time if you “freeze” the aching tooth by holding a piece of ice near it for 15 minutes.

Massaging your hands will reduce the intensity of toothache by half. To do this, you need to strongly massage the acupuncture point on the hand, where the bones of the thumb and index finger meet, with your index finger for 5-7 minutes.

Take the painkiller that is in your home medicine cabinet.

And no compresses!

If you have a toothache, you should not use warm compresses or lotions. This will not only increase the pain, but will also cause severe inflammation, fraught with serious complications. You should not take antibiotics; they may not be useless, but they can also be harmful. Toothache can be completely cured only by eliminating its cause, so you should not delay visiting a doctor.

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Anara asks:

Hello, I am suffering from pain after tooth extraction (lower, left seven), especially at night, preventing me from sleeping. I went to the dentist, they said that a wisdom tooth was growing, they made an incision on the figure eight on the left. But the pain did not go away, but my cheek was very inflamed and even the lymph hurt under the tooth. After the next visit, they sent me to take a picture, which showed that I had a bad seven on the lower left, bad roots (so the doctor said), and at that time the gums around the seventh were swollen, pus came out when pressed. They said it needed to be removed, I agreed because it was no longer I could endure the pain. I am 20 years old and dental problems have not manifested themselves particularly strongly. But I know that it is my own fault, because symptoms such as bleeding, inflammation of the gums, and bad breath have appeared for a long time. So I launched it as soon as possible. The diagnosis seems to be chronic periodontitis, if I'm not mistaken. They removed a tooth; the procedure was terrible; they barely pulled it out for me. The next day, the inflammation on the gums seemed to subside. But still, pus flows out little by little, forming a white-gray discharge, which I quietly remove with an ear cleaner. For 4 days now the pain has not gone away after the removal, especially at night after 3-4 hours of sleep. I wake up in the middle of the night, rinse with furatsilin solution, apply no-shpa if the pain is very severe and only then go to bed. After removal for several days, the temperature is about 37.7, sometimes lower, there is some weakness in the body, I don’t go to school, I’m almost at home all the time. lethargy and passivity. I warmed it with Vishnevsky ointment and massaged the area of inflammation from the outside with honey. I was prescribed to drink Tsiprolet. I rinse with furatsilin. I go to UFO therapy and quartz therapy. But what worries me is that after some days the pain may have decreased, but it does not go away. How long will this last? Maybe this is how it should be, it’s just that my teeth have never really hurt, so I don’t know what to think. Help please. Maybe you just need to wait it out and everything will return to normal. Thanks in advance for your answer!

You need to see a dentist as soon as possible and get an x-ray. You may need to drain the cavity and rinse it. You should not wait, as usually swelling and pain should decrease or disappear within 3-5 days after tooth extraction; lethargy and subfibrility are a sign of the inflammatory process.

Oleg asks:

Hello, 2 weeks ago, a chewing tooth was removed, where the tooth was located; everything was completely healed. But when you press on the gum where the tooth was, there is a sharp pain when you release it, everything subsides. Is this kind of pain supposed or not? nothing was swollen. Maybe the doctor didn’t completely remove everything?

By this time, the pain in the socket after tooth extraction should have passed, or become completely weak. You need to undergo a second dental examination to clarify the situation.

Tanya asks:

Hello. 2 days ago the top 6 was removed. Before this, half of the tooth fell off and the remaining part began to hurt badly, so they removed it. After 2 days it hurts, the gums are swollen and the wound is bleeding, maybe even pus is coming out. What should I do?

Svetlana asks:

2 days ago I had an operation to make an incision in the lower gum on the right (near the wisdom tooth), since the gum interfered with the normal growth of the wisdom tooth. I am worried about pain in the tonsils (and it hurts to swallow), my right cheek and my mouth almost cannot open. Will this go away and how soon? And what can you rinse your mouth with (and maybe painkillers) to calm the aching pain? Thank you very much!

In this case, it is necessary to use antiseptic solutions (hexide, stomatidine, furatsilin). If the treatment was prescribed by the attending physician, it is necessary to strictly follow all his instructions. Unfortunately, it is not possible to completely eliminate pain and swelling in this area, but taking non-steroidal hormonal contraceptives (indomethacin, diaclofenac, nimesil) can partially reduce their severity.

Ruslana asks:

2 wisdom teeth have started to grow! the gum above it has opened halfway, and pus is coming from there. The pain is not severe, but it is there! Maybe some antibiotics should be used to rinse

First of all, you need to consult a dentist for a personal examination. At this time, you can rinse your mouth with a hypertonic solution of salt with soda, chorhexidine or Stamatidine.

Olga asks:

Olga 32 years old
They removed the lower wisdom tooth with a cyst, after that the gum hurt for three days, then it began to go away, but then it got sick again, I went to the doctor, he cleaned it, removed pieces of food that got into the hole, said to rinse with soda and salt, sage, but after the pain still doesn’t go away, after cleaning it already hurts for four days, is this normal?

Tanya asks:

a child had a baby tooth removed, after the anesthesia wore off, his gums began to hurt. When will the pain go away?, without going to the doctor...

If the pain is severe and does not go away within 24 hours after tooth extraction, it is recommended to re-consult with a dentist to conduct an examination and prescribe adequate treatment, as well as select the optimal pain relief, based on the child’s age and weight. Read more about toothache by clicking on the link: Toothache.

Nastya asks:

I had a tooth removed 3 days ago and after that I have such a strange weakness in my body, I can’t hold anything normally in my hands, then my gums hurt and it seems to me, although I feel that there’s a “maso” sticking out there, it’s so painful. I have a very bad headache, dizziness, the temperature hasn’t appeared yet. But I’m already shivering. Help!!!

After tooth extraction, a number of complications are possible that require immediate examination by a dentist. Possible complications are associated with infection of the hole after tooth extraction and the development of an abscess. Considering that your complaints are accompanied by an increase in temperature, I recommend that you do not delay and visit the dentist in person. You can learn more about this from the thematic section of our website: Tooth abscess.

Julia asks:

there is a blood clot, the wound is healing, but it hurts. This is fine.? and when will the pain go away? )